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693
Large Language Models in Medicine: Applications, Challenges, and Future Directions.
Erlan Yu1, Xuehong Chu1, Wanwan Zhang1
1Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
International Journal of Medical Sciences
|June 16, 2025
Summary
Large language models (LLMs) show promise in medicine, aiding clinical practice, research, and education. Challenges like hallucination and ethics require further research for widespread adoption.
Area of Science:
- Artificial Intelligence in Medicine
- Natural Language Processing
- Healthcare Technology
Background:
- Large language models (LLMs), exemplified by GPT-4, have advanced rapidly in natural language processing tasks.
- The medical field, with its complex data and processes, presents significant opportunities for LLM applications.
- LLMs are increasingly integrated into clinical practice, medical research, and education.
Purpose of the Study:
- To provide a comprehensive overview of LLM applications in medicine.
- To identify and discuss the challenges associated with implementing LLMs in healthcare.
- To explore future directions for the development and integration of medical LLMs.
Main Methods:
- Literature review of recent advancements in LLMs within the medical domain.
- Analysis of current applications across clinical practice, research, and education.
- Identification of key challenges including hallucination, interpretability, and ethical concerns.
Main Results:
- LLMs demonstrate transformative potential in various medical applications.
- Significant challenges hinder the widespread adoption of medical LLMs, including accuracy and ethical considerations.
- Future research should focus on standardized evaluation, multimodal capabilities, and interdisciplinary collaboration.
Conclusions:
- LLMs offer substantial benefits for the medical field, improving efficiency and potential outcomes.
- Addressing challenges such as hallucination and ethical concerns is crucial for reliable medical LLM deployment.
- Continued research and collaboration are essential to fully realize the potential of LLMs in global healthcare transformation.

